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SAN JOAQUIN COUNTY PUBLIC HFA&TH SERVICES � Page 1 <br /> ENVIRONMENTAL HEALTH DIVISfflF <br /> 304 E WEBER AVE-3RD FLOOR <br /> STOCKTON, CA 95202 <br /> 209-468-3420 <br /> INVOICE Account ID AR0017987 <br /> Facility ID FA0010987 <br /> Date Printed 6/5/00___ <br /> 1W==MM=W==j <br /> PACIFIC COAST BUILDING PRODUCT RE: ANDERSON TRUSS <br /> ANDERSON TRUSS 2050 E LOUISE AVE <br /> PO BOX 160488 LATHROP CA 95330 20 <br /> SACRAMENTO CA 95816 <br /> OWNER: PACIFIC COAST BUILDING PRODCUT <br /> Health <br /> Date Program Description Hrs Employee Amount <br /> Invoice# IN0071368---Date of Invoice: 4/19/00 <br /> 4/19/2000 2220 SM HVV GEN<5 TONS/YR $100.00 <br /> 4/19/2000 2399 UNIFIED PROGRAM FAC STATE SERVICE FEE $10.00 <br /> Total for this Invoice $110.00 <br /> Payment Due Date 7/5/2000, <br /> TOTAL DUE this Billing Period $110.00 <br /> Please make Checks PAYABLE to: PHS/EHD / Return a Copy of This STATEMENT with Your PAYMENT <br /> Penalties will be added to all Permit Fees For all SERVICE FEES <br /> at the Rate of 100%of the Base Fee Penalties will be added at the Rate of 10 <br /> 30 Days after the Due Date 60 Days after the Invoice Date and each 30 thereafter <br /> iPAY E.N� <br /> RECHVED <br /> JUN I Z0 <br /> SAN,,UAUUIN CUUN iY <br /> PUBLIC HEALTH SERVICES <br /> EN <br /> VIRQNMENTAL HEALTH DIVISIoIV <br /> 5255.rpt <br />